Individual provider · Type 1 NPI

Fong Chan, MSW

Mental Health Counselor · Lexington, MA

NPI number 1336479914 Active

Practice location

1040 Waltham St
Lexington, MA 02421-8033

Call (781) 862-3600 Map

Fax (781) 863-5903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336479914

Fong Chan, MSW's National Provider Identifier is 1336479914, issued on Jan 5, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Jan 5, 2010.